Chapter 10: The Endocrine System McGraw-Hill © 2013 by The McGraw-Hill Companies, Inc. All rights reserved. Learning Outcomes Recall the parts/function of endocrine system Define combining forms used in building words that relate to the endocrine system. Recall the common diagnoses, laboratory tests, and clinical procedures used in treating disorders of the endocrine system. Define the major pathological conditions of the endocrine system. Define surgical terms related to the endocrine system. Recognize common pharmacological agents used in treating disorders of the endocrine system. McGraw-Hill 10-2 3 Structure/ Function Group of glands act as body’s master regulator of chemicals that affect the entire body Hormones secretion McGraw-Hill 10-3 4 Endocrine System McGraw-Hill 10-4 5 Secretions and Functions Hypothalamus pituitary-regulating hormones ,either stimulate or inhibit pituitary secretions Neurohypophysis antidiuretic hormone (ADH), vasopressin oxytocin ,melanocyte-stimulating hormone (MSH),increase water reabsorption ,stimulates uterine contractions and lactation ,stimulates the production of melanin McGraw-Hill 10-5 6 Secretions and Functions Adenohypophysis Growth, somatotrophic, thyroid-stimulating, adrenocortictropic, follicle-stimulating, and luteinizing and prolactin hormones bone and muscle growth; regulate metabolic functions, stimulates thyroid gland, stimulates adrenal cortex development of ova and production of female hormones, breast development and milk production McGraw-Hill 10-6 7 Secretions and Functions Thyroid thyroxine ; triiodothyronine , calcitonin, regulates metabolism; stimulates growth, lowers blood calcium as necessary to maintain homeostasis Parathyroid parathormone, parathyroid hormone (PTH), increase blood calcium as necessary to maintain homeostasis McGraw-Hill 10-7 8 Secretions and Functions Adrenal Medulla Epinephrine and norepinephrine React to stress Adrenal Cortex glucocorticoids , mineralocorticoids , gonadocorticoids affect metabolism, growth, and aid in electrolyte and fluid balances McGraw-Hill 10-8 9 Secretions and Functions Pancreas insulin, glucagons, maintains blood glucose concentration Pineal Gland Melatonin, affects sexual functions and sleep cycles McGraw-Hill 10-9 10 Secretions and Functions Ovaries Estrogen and progesterone, female sex characteristics, menstrual cycle, reproductive functions Testes Androgen, testosterone, male sex characteristics, sperm production McGraw-Hill 10-10 11 Secretions and Functions Thymus gland thymosin, thymic humoral factor , factor thymic serum , T cells and some B cells development; function not well understood McGraw-Hill 10-11 12 Combining Forms aden(o) adren(o), adrenal(o) gluc(o) glyc(o) gonad(o) pancreat(o) parathyroid(o) thyr(o), thyroid(o) McGraw-Hill gland adrenal glands glucose glycogen sex glands pancreas parathyroid thyroid gland 10-12 13 Hypothalamus/Pituitary McGraw-Hill 10-13 14 Hypothalamus, Pineal, Pituitary Gland Hypothalamus = stimulates / inhibits secretions Pineal gland = sexual function / sleep cycles Pituitary gland = growth and metabolism McGraw-Hill 10-14 15 Thyroid ,Parathyroid, Thymus, Adrenal Thyroid affects= metabolism Thymus gland = aids in T and B cells Adrenal glands= metabolism, growth, fluid and electrolyte balance McGraw-Hill 10-15 16 Thyroid gland McGraw-Hill 10-16 17 Parathyroid glands McGraw-Hill 10-17 18 Adrenal glands McGraw-Hill 10-18 19 Pancreas, Ovaries, Testes Pancreas = insulin = maintain glucose levels Ovaries= estrogen and progesterone Testes = testosterone McGraw-Hill 10-19 20 Pancreas McGraw-Hill 10-20 21 Diagnostic, Procedural, Lab Term Assist in diagnosing medical conditions Often used in combination, Lead to a final diagnosis and treatment planning McGraw-Hill 10-21 22 Programmed Review fasting blood sugar postprandial glucose tolerance test blood sugar (GTT) blood sugar blood glucose urine sugar glycated hemoglobin 10-22 23 Pathological Terms Disorders of the pituitary, thyroid, parathyroid and adrenal glands can affect many functions within the body. McGraw-Hill 10-23 24 Cretinism McGraw-Hill 10-24 25 Grave’s disease McGraw-Hill 10-25 26 Iodine Deficiency McGraw-Hill 10-26 27 Pancreas Disorders Pancreatic disorders frequently lead to diabetes. Diabetes can impact many other systems within the body. pancreatitis hypoglycemia diabetes mellitus diabetes McGraw-Hill 10-27 28 Pancreas Disorders (cont.) Type I diabetes (insulin-dependent diabetes mellitus or IDDM) Type II diabetes (non insulin dependent diabetes mellitus or NIDDM) McGraw-Hill 10-28 29 Pancreas Disorders (cont.) glucosuria diabetic retinopathy diabetic nephropathy acidosis diabetic neuropathy ketoacidosis ketosis 10-29 30 Endocrine System and Cancer Cancers occur commonly in the endocrine system Thyroid cancer= remove gland +replace hormone Pancreatic cancer= fatal = No good treatments McGraw-Hill 10-30 31 Surgical Terms Endocrine glands that become diseased can be surgically removed. Synthetic hormones replacement adenectomy adrenalectomy hypophysectomy McGraw-Hill 10-31 32 Surgical Terms (cont.) pancreatectomy parathyroidectomy thymectomy Thyroidectomy hormone replacement therapy (HRT) antiphypoglycemic antihyperglycemic McGraw-Hill 10-32 33 Surgical Terms (cont.) hypoglycemic human growth hormone steroids radioactive iodine therapy McGraw-Hill 10-33 34 Chapter Review Recall the parts/function of endocrine system Define combining forms used in building words that relate to the endocrine system. Recall the common diagnoses, laboratory tests, and clinical procedures used in treating disorders of the endocrine system. Define the major pathological conditions of the endocrine system. Define surgical terms related to the endocrine system. Recognize common pharmacological agents used in treating disorders of the endocrine system. McGraw-Hill 10-34